Active NPI
Sunset Sleep Labs LLC
- Clinical Medical Laboratory
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SUNSET SLEEP LABS LLC
- Practice address
- 2796 Sycamore Dr
Suite103
Simi Valley, CA 93065-1546 - Phone
- (805) 582-0999
- Fax
- (805) 582-0919
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce L Edwards
- Title
- President
- Phone
- (805) 582-0999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2796 Sycamore Dr
Suite103
Simi Valley, CA 93065-1546
Mailing address
2796 Sycamore Dr
Suite103
Simi Valley, CA 93065-1546
Phone (805) 582-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ64553Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050308001131 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8729032172 | Practice locations: Simi Valley, CA |
| O20150728003487 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8729032172 | Practice locations: Newhall, CA |
| O20150924003057 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8729032172 | Practice locations: Tarzana, CA |
National Provider Directory
National Provider DirectoryLocations
3831 Hughes Ave
Ste 510
Culver City, CA 90232
Phone (310) 202-0999
23928 Lyons Ave
Ste 108
Newhall, CA 91321
Phone (661) 753-9340
990 Enchanted Way
Ste 100
Simi Valley, CA 93065
990 Enchanted Way
Ste 106
Simi Valley, CA 93065
Phone (805) 582-0999
2796 Sycamore Dr
Ste 103
Simi Valley, CA 93065
Phone (805) 582-0989
5620 Wilbur Ave
Ste 324
Tarzana, CA 91356
Phone (805) 582-0999
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Simi Valley, CA
- NPI 1639161581
-
- Pulmonary Disease Physician
- Thousand Oaks, CA
- NPI 1922027630
-
- Pulmonary Disease Physician
- Newbury Park, CA
- NPI 1053457127
-
- Specialist
- Tarzana, CA
- NPI 1174546493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440633600000",
"number": "1104985357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2796 SYCAMORE DR",
"address_2": "SUITE103",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651546",
"telephone_number": "805-582-0999",
"fax_number": "805-582-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2796 SYCAMORE DR",
"address_2": "SUITE103",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651546",
"telephone_number": "805-582-0999",
"fax_number": "805-582-0919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSET SLEEP LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2015-08-27",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-582-0999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ64553Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.